Cutar da kwayar cutar ta shafi ciwon ciki
Cutar da ke ciki, wanda ake kira NEC, shine yanayin da hanzarin ya zama kamuwa da cutar kuma zai iya fara mutuwa. Kwayar cutar tana shafar yara masu tsufa, kodayake lokuta babba na iya samun NEC. Cutar da ke tattare da kwayar cutar ne mai tsanani wanda zai iya buƙatar tiyata, kuma yana da mummunar ƙwayar cuta da mutuwa.
Bayani
Hannun ciki na ciki yana dauke da miliyoyin kwayoyin cuta.
Yawanci, waɗannan kwayoyin (wanda ake kira flora na al'ada) ba su da lahani kuma sun kasance wani ɓangare na tsari na narkewa. A cikin NEC, duk da haka, kwayoyin sun fara kai hari ga bango na intestinal. Idan ba'a bi da cutar ba da sauri, bango na intestinal zai raunana kuma zai mutu. Daga ƙarshe, rami zai iya samuwa ta hanyar murfin jinji (wani shinge), ya zubar da abinda yake ciki a cikin rami na ciki. Jirgin kwanciyar hankali shine gaggawa na gaggawa wanda ke buƙatar aikin tiyata kuma yana da mummunan ƙimar mutuwa.
Dalilin
Matsakaici shine babban haɗarin haɗari ga ci gaban NEC, domin ana haifar da samfurori tare da ƙananan hanyoyi. Bayan haka, likitoci ba su da tabbacin abin da ke haifar da NEC. Sun san cewa mafi yawan jarirai da suka sami NEC sun fara samar da abinci mai madara, amma sun san cewa jinkirta feedings ba zai rage mita na rashin lafiya ba. Zubar da jinin jini zuwa ga hanji zai iya taka muhimmiyar rawa wajen bunkasa ciwon kwayoyin halitta, kuma jariran da ke da yanayin zuciya kamar su ductus arteriosis (PDA) suna da babbar haɗari don bunkasa NEC.
Cutar cututtuka
A farkon farkon NEC, kamuwa da cuta yana haifar da motsi da abinci da iska ta hanyar intestines don ragewa ko dakatar. Wannan ya sa ciki yaron ya dubi ko ya damu. Bayan abinci, za a rage abinci a cikin jaririn a matsayin mai ciki. A ƙarshe, isasshen abinci da iska ya zama kamala a cikin hanji cewa zafin jiki na hanji zai kasance a bayyane akan ciki.
Cikin ciki zai zama mai raɗaɗi kuma an gano shi, kuma jaririn zai iya fara busa bile ko yana da masu ciyayi. Jini yana iya zama a cikin jaririn, kuma jariri zai fara farawa a duk faɗin kuma yana da ƙananan fitarwa. Mai jariri zai iya yin wuyar lokaci yana daidaita yanayin zafin jiki kuma zai iya fara samun asibiti na apnea ko bradycardia . Daga ƙarshe, ciwon zuciya zai rushe, haifar da kamuwa da cuta mai tsanani da numfashi na numfashi.
Jiyya
A farkon matakan, jiyya na NEC sun hada da dakatar da madara don ciyar da ciwon ciki, bada maganin rigakafi don magance kamuwa da cuta, da cire iska daga ciki. Yarinyar zai karbi radiyo masu yawa don kallon ci gaba na cutar.
Idan likita ba ya aiki ko kuma idan ciwon gwal ya fara, ana buƙatar tiyata. Kwararren likita zai cire duk wani ɓangare na ɓacin zuciya da sauran kayan ƙwayar cuta. Ƙunƙasar za ta kasance ko za a juya shi ko kuma a juya shi cikin ciki ta hanyar stoma . Magunguna za su ci gaba har sai an magance cutar.
Faɗakarwa
NEC yana da mummunar cuta, kuma kimanin kashi 25 cikin 100 na jarirai da suka warke daga NEC zasu buƙaci magani don matsalolin lokaci mai tsawo. Ƙananan yara waɗanda ake kulawa da su na lafiya don NEC na iya samun jinkirin girma, rikicewar rikicewa na gina jiki, da matsala tare da hanta da gall.
NEC yana ƙara haɗarin jinkirin jinkiri.
Yarinya waɗanda ke da tiyata don NEC sun nuna alamun cutar daga cikin cutar. Bugu da ƙari da sakamakon lafiyar lafiyar NEC, marasa lafiya na iya samun matsaloli mai tsanani irin su ciwon ƙwayar jijiyar ƙwayar zuciya da kuma kara yawan ƙwayar cututtuka da kwakwalwa da kuma matsalolin ido.
Rigakafin
Hanace haihuwa ba tare da haihuwa ba shine hanya mafi kyau don hana ciwon gurguntaccen ƙwayar cuta. Idan kana cikin haɗari don haihuwar haihuwa, magana da likitanka game da abin da zaka iya yi don rage haɗarinka.
Idan haihuwar haihuwa ta faru, to sai ciyar da madara nono kawai zai iya rage haɗarin NEC.
Maƙaryaci na nono ya ƙunshi abubuwa masu kariya wanda ke karfafa kyakkyawan ci gaba na intestinal kuma zai iya rage adadin kwayoyin cutarwa a cikin hanji. A cikin binciken daya, jarirai wanda ke dauke da nau'in abinci wanda akalla 50% madara nono ya sami kashi shida a cikin rashin lafiyar NEC.
Baya ga hana hana haihuwa da kuma ciyar da madara madara, ba da tsinkar daddara ga mahaifiyar lokacin da aka haife shi ba zai iya rage haɗarin NEC ba. Har ila yau, ƙara da madara madara da samfurin da abubuwa daban-daban kamar probiotics ko immunoglobulins zasu iya taimakawa, ko da yake ana buƙatar ƙarin bincike.
Sources:
Bradshaw, MSN RN NNP-BC, CCRN Wanda Todd. "Necrotizing Enterocolitis: Etiology, Presentation, Management, da Results." Jaridar Perinatal & Neonatal Nursing Janairu / Maris 2009, 23: 87-94.
Schurr, P da Perkins, EM. "Harkokin da ke tsakanin ciyar da ciwon ciki da ƙananan ƙwayoyin cuta a cikin ƙananan jarirai na haihuwa." Network Neonatal Nov-Dec. 2007, 27: 397-407.
Sears MD, William, Sears MD, Robert, Sears MD, James, Sears RN, Martha. Littafin Littafin Farko: Abubuwan Da Kayi Bukatar Sanu game da Yararku na Farko daga Haihuwa zuwa Girma Daya . Little, Brown da Co., New York, 2004.